探索遮和关节疾病之间的神秘联系:最佳证据共识共识
Abhishek Kumar Gupta1, Sakshi Verma1, M Nagaraj2
1Department of Prosthodontics, ESIC Dental College, Rohini, New Delhi, India.
National journal of maxillofacial surgery
|January 26, 2026
概括
关节疾病 (TMD) 与牙闭塞问题有关. 临床医生必须在治疗TMD之前彻底检查闭塞因素和关节健康状况,以确定所有导致的参数.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 口腔和牙面部外科手术
背景情况:
- 关节疾病 (TMDs) 包括影响关节,其支结构和肌的非牙性疾病.
- 肌痛神经疾病与闭塞干扰,退行性肌痛神经关节变化以及特定的闭塞特征,如单边的舌头交叉咬伤和深度咬伤有关.
- 影响TMD的因素包括植入物治疗,面形态和心理社会因素.
研究的目的:
- 检查与TMD相关的闭塞特征的现有数据.
- 建立一个共识,关于各种封闭性特征在TMD病因和管理中的作用.
主要方法:
- 在1990年至2024年6月期间发表的有关TMD和坏闭合的体内研究的广泛审查.
- 搜索使用关键词和MeSH术语,重点关注闭合模式,干扰,垂直下关系,面形态和压力.
- 研究被过为临床试验,评论和元分析,手动的文献搜索确保了全面的证据.
主要成果:
- 牙堵塞问题和TMD之间存在着重要的联系.
- 临床医生经常忽视异常骨结构,关节疾病和关节疾病发展中的闭合因素之间的相互作用.
- TMD是一种多因素状况,需要进行整体评估.
结论:
- 牙堵塞是牙医治疗TMD患者的一个关键考虑因素.
- 在开始TMD治疗之前,必须进行全面的TMJ检查,包括对闭塞因素和诱导条件的评估.
- 未来的牙科教育应该整合学术和临床实践的闭塞分析和TMJ检查.
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